Iswarya Fertility Centre & Women's Hospital
Comprehensive Guide

Female Infertility

Causes, Diagnosis & Treatment

Female factor infertility accounts for approximately 40% of all infertility cases. With early diagnosis and advanced reproductive technologies, the vast majority of female fertility issues can be treated successfully.

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1 in 6

Couples face infertility

25%

Caused by ovulation disorders

~75%

Our IVF success rate

35+

Age when fertility declines faster

Common Causes of Female Infertility

Understanding the root cause helps our specialists create a targeted treatment plan

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Ovulation Disorders

PCOS, hormonal imbalances, and thyroid disorders can prevent regular ovulation, the most common cause of female infertility.

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Tubal Damage or Blockage

Blocked or damaged fallopian tubes prevent the egg from meeting sperm, often caused by infections or endometriosis.

🩺

Endometriosis

Tissue similar to the uterine lining grows outside the uterus, causing inflammation, scarring, and reduced fertility.

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Diminished Ovarian Reserve

Low egg count or poor egg quality, indicated by low AMH levels, which naturally declines with age.

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Uterine Abnormalities

Fibroids, polyps, or structural issues in the uterus can interfere with implantation or pregnancy maintenance.

Age-Related Decline

Female fertility naturally declines after 35, with a significant drop after 40 due to reduced egg quality and quantity.

Diagnostic Tests

Our comprehensive female fertility evaluation includes

1

AMH Test (Anti-Mullerian Hormone)

Blood test that measures ovarian reserve — the quantity of eggs remaining. A key indicator of fertility potential.

2

Hormonal Panel

Blood tests for FSH, LH, estradiol, progesterone, prolactin, and thyroid hormones to assess the hormonal environment.

3

Transvaginal Ultrasound

Imaging of the uterus and ovaries to check for fibroids, polyps, cysts, and to perform antral follicle count (AFC).

4

HSG (Hysterosalpingography)

X-ray with contrast dye to evaluate whether the fallopian tubes are open and the uterine cavity is normal.

5

Hysteroscopy

Direct visualisation of the uterine cavity using a thin camera to diagnose and treat polyps, fibroids, or adhesions.

6

Laparoscopy

Minimally invasive surgery to diagnose endometriosis, tubal damage, ovarian cysts, and other pelvic abnormalities.

Age & Female Fertility

A woman's fertility is closely linked to her age. Understanding this relationship helps in making informed decisions about family planning.

Under 30
Peak fertility
~25% per cycle
30 – 35
Gradual decline
~20% per cycle
35 – 40
Noticeable decline
~15% per cycle
Over 40
Significant decline
~5% per cycle

*Per-cycle conception rates are approximate and vary by individual

Treatment Options

Personalised treatment plans based on your specific diagnosis and age

When Should You See a Specialist?

Consider consulting a fertility specialist if:

Under 35 and unable to conceive after 12 months
Over 35 and unable to conceive after 6 months
Irregular or absent menstrual periods
Known history of endometriosis or PCOS
Two or more miscarriages
Previous pelvic surgery or infections
Painful periods or pain during intercourse
Family history of early menopause

Get a Complete Fertility Evaluation

Our women's health specialists provide compassionate, personalised care with advanced diagnostics

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